Individual
MISS LAUREN MARIE FULLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.ED., BCBA, COBA
Contact information
Practice address
1428 LOOP RD, KENT, OH 44240-4694
(330) 414-9634
Mailing address
1428 LOOP RD, KENT, OH 44240-4694
(330) 414-9634
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BACB567751
OH
Other
Enumeration date
08/22/2025
Last updated
08/22/2025
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